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The Atrophy Hypothesis and Development of Malignant Germ Cell Cancers of the Testis

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Abstract

It is now beyond doubt that intra-uterine environment and in particular maternal natural oestrogen levels as well as the levels of ingested environmental chemical xenooestrogen ingestion can influence the risk of the foetus subsequently developing a malignant germ cell cancer after puberty [1]. It is also clear that a major component of this intrauterine effect is because excess intra-uterine oestrogens contribute to the development of defects in descent of the testis into the scrotum. More controversial is the contribution of intra-uterine events to the neoplastic transformation of intratubular germ cells relative to the contribution of post-pubertal events [2]. It is the aim of this brief review to focus on the role of post pubertal testicular atrophic factors in the neoplastic transformation of prepubertally primed but not transformed spermatogonia.

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© 2002 Springer-Verlag London Limited

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Oliver, R.T.D. (2002). The Atrophy Hypothesis and Development of Malignant Germ Cell Cancers of the Testis. In: Harnden, P., Joffe, J.K., Jones, W.G. (eds) Germ Cell Tumours V. Springer, London. https://doi.org/10.1007/978-1-4471-3281-3_14

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  • DOI: https://doi.org/10.1007/978-1-4471-3281-3_14

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3283-7

  • Online ISBN: 978-1-4471-3281-3

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